How to Apply for Medicaid in North Carolina

Applying for Medicaid in North Carolina can be done online, by mail, or in person at a local Department of Social Services office. Before you apply, gather necessary documents like proof of income, identity, and residency. You can apply online through the state’s Medicaid website or fill out a paper application and mail it to the Division of Medical Assistance. If you need help, you can call the Medicaid helpline or visit a local Department of Social Services office for assistance. Once your application is processed, you will receive a Medicaid ID card that you can use to access healthcare services covered by the program.

Medicaid Eligibility in North Carolina

Medicaid is a health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid is administered by the state’s Department of Health and Human Services. To be eligible for Medicaid, you must meet certain income and asset limits. You must also be a citizen or legal resident of the United States, and you must reside in North Carolina.

Income and Asset Limits

  • For individuals, your income must be at or below 138% of the federal poverty level.
  • For families, your income must be at or below 133% of the federal poverty level.
  • You can own a limited amount of assets, such as your home and one vehicle.

Who is Eligible for Medicaid in North Carolina?

  • Families with children under 19 years old
  • Pregnant women
  • Adults with disabilities
  • Adults aged 65 and older
  • People who are blind or disabled
  • People with certain medical conditions, such as HIV/AIDS or cancer

How to Apply for Medicaid in North Carolina

  1. Contact your local Department of Social Services office.
  2. Ask for an application for Medicaid.
  3. Fill out the application and return it to the Department of Social Services office.
  4. You will be interviewed by a caseworker.
  5. The caseworker will determine if you are eligible for Medicaid.

What if I Don’t Qualify for Medicaid?

If you don’t qualify for Medicaid, you may be able to get health insurance through the Health Insurance Marketplace. The Marketplace is a government-run website where you can compare and purchase health insurance plans.

Where Can I Find More Information About Medicaid in North Carolina?

You can find more information about Medicaid in North Carolina by visiting the North Carolina Department of Health and Human Services website or by calling the department at 1-800-662-7030.

Income and Asset Limits for Medicaid Eligibility in North Carolina
Household Size Income Limit Asset Limit
1 $1,555 per month $2,000
2 $2,110 per month $3,000
3 $2,660 per month $4,000
4 $3,205 per month $5,000
5 $3,750 per month $6,000

Applying for Medicaid in North Carolina

Medicaid is a joint federal and state health insurance program that provides coverage to low-income individuals and families. In North Carolina, Medicaid is administered by the Department of Health and Human Services (DHHS). To apply for Medicaid in North Carolina, you must meet certain eligibility requirements and provide documentation to support your application.

Eligibility Requirements

  • Be a North Carolina resident
  • Be a U.S. citizen or qualified non-citizen
  • Meet the income and asset limits
  • Be pregnant or have a child under the age of 19
  • Be disabled or have a family member who is disabled
  • Be over the age of 65

Documents Needed

  • Proof of identity (e.g., driver’s license, birth certificate, passport)
  • Proof of address (e.g., utility bill, lease agreement, mortgage statement)
  • Proof of income (e.g., pay stubs, tax returns, Social Security award letter)
  • Proof of assets (e.g., bank statements, investment statements, car title)
  • Proof of citizenship or qualified non-citizen status (e.g., birth certificate, passport, naturalization certificate)
  • Documentation of pregnancy or child’s age (e.g., prenatal care records, birth certificate)
  • Documentation of disability (e.g., doctor’s statement, Social Security Disability Determination Services award letter)

Application Process

You can apply for Medicaid in North Carolina online, by mail, or in person at your local DHHS office. The application process typically takes 30 to 60 days. Once your application is approved, you will receive a Medicaid card in the mail.

Medicaid Benefits

Medicaid provides a wide range of benefits, including:

  • Doctor visits
  • Hospital care
  • Prescription drugs
  • Mental health services
  • Dental care
  • Vision care
  • Long-term care

More Information

For more information about Medicaid in North Carolina, you can visit the DHHS website or call the Medicaid hotline at 1-800-662-7030.

Medicaid Eligibility by Income
Family Size Gross Income
1 $17,655
2 $23,790
3 $29,925
4 $36,060
5 $42,195
6 $48,330

Applying Online for Medicaid

You can apply for Medicaid online using North Carolina’s Medicaid application portal. Here are the steps to apply online:

  1. Go to the NC Medicaid application portal.
  2. Click on “Apply for Medicaid” button.
  3. Select your county of residence.
  4. Answer the screening questions.
  5. Complete the application form.
  6. Upload required documents.
  7. Review and submit your application.

Once you submit your application, you will receive a confirmation number. You can use this number to check the status of your application online.

Required Documents

  • Proof of identity (e.g., driver’s license, state ID card, or passport)
  • Proof of citizenship or legal residency (e.g., birth certificate, naturalization certificate, or green card)
  • Proof of income (e.g., pay stubs, tax returns, or Social Security benefits statement)
  • Proof of assets (e.g., bank statements, stock certificates, or deeds)
  • Proof of disability (if applicable)

You may also be required to provide additional documents, such as proof of pregnancy or proof of child dependency.

Medicaid Eligibility

To be eligible for Medicaid in North Carolina, you must meet certain eligibility requirements. These requirements include:

  • Being a resident of North Carolina
  • Being a U.S. citizen or legal resident
  • Having a low income and limited assets
  • Meeting certain disability or family status requirements
Income Limits for Medicaid Eligibility in North Carolina
Household Size Income Limit
1 $1,482/month
2 $2,003/month
3 $2,524/month
4 $3,046/month
Each additional person $522/month

If you are unsure whether you are eligible for Medicaid, you can apply online or contact your local Medicaid office for more information.

Phone Number and Address for Medicaid Application Assistance in North Carolina

If you need help applying for Medicaid in North Carolina, you can contact the Division of Medical Assistance (DMA) by phone or mail at the following address and phone number:

  • Address: Division of Medical Assistance, P.O. Box 28864, Raleigh, NC 27611
  • Phone Number: 1-800-662-7030

What Information Do I Need to Apply for Medicaid in North Carolina?

When you apply for Medicaid in North Carolina, you will need to provide the following information:

  • Your name, address, and date of birth
  • Your Social Security number
  • Your household income and assets
  • Proof of identity, such as a driver’s license or birth certificate
  • Proof of residency, such as a utility bill or lease agreement
  • Proof of citizenship or legal residency, such as a birth certificate, passport, or naturalization papers
  • Information about your medical conditions and disabilities

How to Apply for Medicaid in North Carolina

You can apply for Medicaid in North Carolina in the following ways:

  1. Online: You can apply for Medicaid online at the NC Medicaid website.
  2. By mail: You can download a Medicaid application form from the NC Medicaid website and mail it to the Division of Medical Assistance.
  3. In person: You can apply for Medicaid in person at your local county Department of Social Services office.

How Long Does It Take to Process a Medicaid Application in North Carolina?

The DMA will process your Medicaid application within 45 days of receiving it. If your application is approved, you will receive a Medicaid card in the mail within 10 days.

What If I Am Denied Medicaid in North Carolina?

If you are denied Medicaid in North Carolina, you can appeal the decision. You have 60 days from the date of the denial to file an appeal.

Medicaid Eligibility Requirements in North Carolina
Category Income Limit
Pregnant women 138% of the federal poverty level
Children under 19 138% of the federal poverty level
Adults with disabilities 138% of the federal poverty level
Seniors 65 and older 138% of the federal poverty level
Parents and caretakers 65% of the state median income

Well friends, that about wraps up our little journey together through the Medicaid application process. I know it can be a bit of a headache, but you’ll be feeling much better once you’re enrolled and can finally get the healthcare you need. If you have any more questions, be sure to check out the official Medicaid website. And hey, don’t be a stranger – come back and visit us again soon! We’ve got plenty more helpful articles like this one, so you never know what you might find. Until next time, take care of yourselves and stay healthy!